{"id":"https://openalex.org/W68226095","doi":null,"title":"Early and late results of the surgical correction of cardiac prosthetic paravalvular leaks.","display_name":"Early and late results of the surgical correction of cardiac prosthetic paravalvular leaks.","publication_year":2005,"publication_date":"2005-11-01","ids":{"openalex":"https://openalex.org/W68226095","mag":"68226095","pmid":"https://pubmed.ncbi.nlm.nih.gov/16359061"},"language":"en","primary_location":{"id":"pmid:16359061","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16359061","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of heart valve disease","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070845845","display_name":"Cary W. Akins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cary W Akins","raw_affiliation_strings":["Department of Surgery, White 503, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. cakins@partners.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, White 503, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. cakins@partners.org","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041228524","display_name":"Jerene Bitondo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jerene M Bitondo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110095006","display_name":"Alan D. Hilgenberg","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alan D Hilgenberg","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046590848","display_name":"Gus J. Vlahakes","orcid":"https://orcid.org/0000-0002-1874-0344","observed_orcids":["https://orcid.org/0000-0002-1874-0344"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gus J Vlahakes","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084623835","display_name":"Joren C. Madsen","orcid":"https://orcid.org/0000-0003-2724-1333","observed_orcids":["https://orcid.org/0000-0003-2724-1333"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joren C Madsen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5022563058","display_name":"Thomas E. MacGillivray","orcid":"https://orcid.org/0000-0003-1248-7891","observed_orcids":["https://orcid.org/0000-0003-1248-7891"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thomas E MacGillivray","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.9463,"has_fulltext":false,"cited_by_count":123,"citation_normalized_percentile":{"value":0.86552299,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":100},"biblio":{"volume":"14","issue":"6","first_page":"792","last_page":"9; discussion 799"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prosthetic-heart-valves","display_name":"prosthetic heart valves","score":0.7749999761581421},{"id":"https://openalex.org/keywords/aortic-valve-replacement","display_name":"aortic valve replacement","score":0.7670000195503235},{"id":"https://openalex.org/keywords/mitral-valve-replacement","display_name":"mitral valve replacement","score":1.0},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.6790000200271606},{"id":"https://openalex.org/keywords/surgical-outcomes","display_name":"surgical outcomes","score":0.48899999260902405},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.8799999952316284},{"id":"https://openalex.org/keywords/perioperative-stroke","display_name":"perioperative stroke","score":0.8650000095367432},{"id":"https://openalex.org/keywords/long-term-survival","display_name":"long-term survival","score":0.8059999942779541},{"id":"https://openalex.org/keywords/prosthetic-replacement","display_name":"prosthetic replacement","score":0.6790000200271606}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9849370718002319},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6436975002288818},{"id":"https://openalex.org/C2780378346","wikidata":"https://www.wikidata.org/wiki/Q1349983","display_name":"Leak","level":2,"score":0.5931999087333679},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5862325429916382},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4865516722202301},{"id":"https://openalex.org/C2775872228","wikidata":"https://www.wikidata.org/wiki/Q82504","display_name":"Endocarditis","level":2,"score":0.4847526252269745},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.46039384603500366},{"id":"https://openalex.org/C2775854548","wikidata":"https://www.wikidata.org/wiki/Q6882369","display_name":"Mitral valve replacement","level":3,"score":0.45646536350250244},{"id":"https://openalex.org/C2777543888","wikidata":"https://www.wikidata.org/wiki/Q369939","display_name":"Mitral valve","level":2,"score":0.42298102378845215},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.41604551672935486},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.4121294617652893},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.41166672110557556},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C87717796","wikidata":"https://www.wikidata.org/wiki/Q146326","display_name":"Environmental engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001021","descriptor_name":"Aortic Valve","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001022","descriptor_name":"Aortic Valve Insufficiency","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006350","descriptor_name":"Heart Valve Prosthesis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008943","descriptor_name":"Mitral Valve","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008944","descriptor_name":"Mitral Valve Insufficiency","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011475","descriptor_name":"Prosthesis Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016019","descriptor_name":"Survival Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019918","descriptor_name":"Heart Valve Prosthesis Implantation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:16359061","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16359061","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of heart valve disease","raw_type":"Journal Article"},{"id":"mag:68226095","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16359061","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1976932460","https://openalex.org/W2418367075","https://openalex.org/W7211894408","https://openalex.org/W2524893435","https://openalex.org/W2073312318","https://openalex.org/W1973085921","https://openalex.org/W2193672314","https://openalex.org/W2124625034","https://openalex.org/W2941251637","https://openalex.org/W1973417665"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"AIM":[2],"OF":[3],"THE":[4],"STUDY:":[5],"Although":[6],"the":[7,12,25,34,117,150,153,169,187,203],"incidence":[8],"of":[9,16,27,41,63,97,112,220,268],"paravalular":[10],"leaks,":[11,43],"most":[13],"common":[14],"cause":[15],"non-structural":[17],"dysfunction":[18],"after":[19],"valve":[20],"replacement,":[21],"is":[22,54],"well":[23],"defined,":[24],"results":[26,53],"their":[28],"surgical":[29,46,61,110],"correction":[30,40,62,111,170,267],"are":[31],"not.":[32],"Given":[33],"growing":[35],"enthusiasm":[36],"for":[37,156,159],"interventional":[38],"catheter-based":[39],"paravalvular":[42,68,114,255,270,284,296],"a":[44,82,113,287],"current":[45],"baseline":[47],"against":[48],"which":[49],"to":[50,71,173],"compare":[51],"these":[52],"important.":[55],"METHODS:":[56],"All":[57],"patients":[58,100,138,142,161,179,195,238],"who":[59],"had":[60,133],"an":[64],"aortic":[65,122,145,164,182,198],"or":[66],"mitral":[67,148,167],"leak":[69,151,188,256],"unrelated":[70],"acute":[72],"bacterial":[73],"endocarditis":[74],"between":[75],"1986":[76],"and":[77,89,123,230,278],"2001":[78],"were":[79,87,121,215],"identified":[80],"from":[81,253,294],"computerized":[83],"registry.":[84],"Hospital":[85],"records":[86],"reviewed,":[88],"follow":[90],"up":[91],"data":[92],"obtained.":[93],"RESULTS:":[94],"A":[95],"total":[96],"136":[98],"consecutive":[99],"(73":[101],"males,":[102],"63":[103,262],"females;":[104],"mean":[105],"age":[106],"64":[107],"years)":[108],"underwent":[109],"leak.":[115,297],"Of":[116],"valves,":[118],"44":[119],"(32%)":[120],"92":[124],"(68%)":[125],"mitral.":[126],"More":[127],"than":[128],"one":[129],"previous":[130],"cardiac":[131,175,269],"operation":[132],"been":[134],"performed":[135,274],"in":[136,193,226,236],"68":[137],"(50%).":[139],"In":[140,177],"107":[141],"(79%;":[143],"32":[144,197],"(73%),":[146,199],"75":[147],"(82%)),":[149],"was":[152,171,189,205,209,233,244,257],"primary":[154],"indication":[155],"reoperation,":[157],"while":[158,192],"29":[160],"(21%;":[162],"12":[163,181],"(27%),":[165,183],"17":[166],"(18%))":[168],"secondary":[172],"another":[174],"procedure.":[176],"65":[178],"(48%;":[180],"53":[184],"(58%)":[185],"mitral))":[186,202],"repaired":[190],"primarily,":[191],"71":[194],"(52%;":[196],"39":[200],"(42%)":[201],"prosthesis":[204],"replaced.":[206],"Operative":[207],"mortality":[208,277],"6.6%":[210],"(n":[211],"=":[212],"9).":[213],"There":[214],"no":[216],"significant":[217],"multivariable":[218],"predictors":[219],"hospital":[221,231],"death.":[222],"Perioperative":[223],"stroke":[224],"occurred":[225],"seven":[227],"cases":[228],"(5.1%),":[229],"stay":[232],">14":[234],"days":[235],"40":[237],"(29%).":[239],"The":[240],"10-year":[241],"Kaplan-Meier":[242],"survival":[243],"30":[245],"(CI":[246,259,263],"20-39)%.":[247],"Ten-year":[248],"actual":[249],"versus":[250,261],"actuarial":[251],"freedom":[252,293],"repeat":[254],"84":[258],"68-92)%":[260],"49-76)%.":[264],"CONCLUSION:":[265],"Surgical":[266],"leaks":[271,285],"can":[272],"be":[273],"with":[275,281],"acceptable":[276],"morbidity.":[279],"Patients":[280],"surgically":[282],"corrected":[283],"have":[286],"limited":[288],"life":[289],"expectancy,":[290],"but":[291],"reasonable":[292],"recurrent":[295]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":9},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":8},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":9},{"year":2015,"cited_by_count":10},{"year":2014,"cited_by_count":15},{"year":2013,"cited_by_count":8},{"year":2012,"cited_by_count":5}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
